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Hydroxyethyl starch (HES/HAES), sold under the brand name Voluven among others, is a nonionic starch derivative, used as a volume expander in intravenous therapy. The use of HES on critically ill patients is associated with an increased risk of death and kidney problems.
It occurs in a hypotonic environment, where water moves into the cell by osmosis and causes its volume to increase to the point where the volume exceeds the membrane's capacity and the cell bursts. The presence of a cell wall prevents the membrane from bursting, so cytolysis only occurs in animal and protozoa cells which do not have cell walls.
Surface charges on vessel walls affect the flow of ions through the capillaries and fluid mechanics in microvasculature. A charged endothelial lining creates a bound layer of ions where diffusion occurs between the cell walls and lumen, also known as the stern layer. This creates a diffuse layer, a charge gradient where ions move towards the ...
The most commonly used crystalloid fluid is normal saline, a solution of sodium chloride at 0.9% concentration, which is close to the concentration in the blood . [3] Ringer's lactate or Ringer's acetate is another isotonic solution often used for large-volume fluid replacement. The choice of fluids may also depend on the chemical properties of ...
The Starling principle holds that fluid movement across a semi-permeable blood vessel such as a capillary or small venule is determined by the hydrostatic pressures and colloid osmotic pressures (oncotic pressure) on either side of a semipermeable barrier that sieves the filtrate, retarding larger molecules such as proteins from leaving the blood stream.
The blood represents both the intracellular compartment (the fluid inside the blood cells) and the extracellular compartment (the blood plasma). The average volume of plasma in the average (70-kilogram or 150-pound) male is approximately 3.5 liters (0.77 imp gal; 0.92 U.S. gal). The volume of the intravascular compartment is regulated in part ...
Blood is a complex liquid. Blood is composed of plasma and formed elements. The plasma contains 91.5% water, 7% proteins and 1.5% other solutes. The formed elements are platelets, white blood cells, and red blood cells. The presence of these formed elements and their interaction with plasma molecules are the main reasons why blood differs so ...
Increasing fluid volume is associated with a decrease in matrix fiber density, and a lower exclusion volume. [8] [3] The total fluid volume of the interstitium during health is about 20% of body weight (volume is not weight), but this space is dynamic and may change in volume and composition during immune responses and in conditions such as ...